Active NPI
Constance L. Bauer, LLC
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1457532343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 149009945
- Legal business name
- CONSTANCE L. BAUER, LLC
- Practice address
- 180 N Michigan Ave
Suite 605
Chicago, IL 60601-7401 - Phone
- (708) 848-0491
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Constance Linn Bauer, LCSW, JD
- Title
- Managing Member
- Phone
- (708) 848-0491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 149009945 | IL | Primary |
Addresses
Primary practice location
180 N Michigan Ave
Suite 605
Chicago, IL 60601-7401
Mailing address
PO Box 5888
River Forest, IL 60305-5888
Phone (708) 848-0491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216943 | Other | IL | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
180 N Michigan Ave
Ste 605
Chicago, IL 60601
Phone (312) 201-0840
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Oak Park, IL
- NPI 1629656483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222041600000",
"number": "1457532343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5888",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603055888",
"telephone_number": "708-848-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N MICHIGAN AVE",
"address_2": "SUITE 605",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017401",
"telephone_number": "708-848-0491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSTANCE L. BAUER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2008-09-22",
"status": "A",
"authorized_official_last_name": "BAUER",
"authorized_official_first_name": "CONSTANCE",
"authorized_official_middle_name": "LINN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "708-848-0491",
"authorized_official_credential": "LCSW, JD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "149009945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "216943",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.